RESUMEN
The biggest hurdle in the treatment of acne vulgaris is patient non-compliance that is due in large part to poor tolerability to common acne medications. As such, new acne treatments must be developed that balance good anti-acne efficacy with excellent tolerability in order to ensure patient adherence and by extension ensure good clinical outcomes. The goal of the present study was to determine the tolerability and efficacy of a novel skin care system, composed of a cleanser, containing 1% salicylic acid and botanical ingredients, and a treatment gel, containing 1% salicylic acid, 10% buffered glycolic acid and botanical ingredients for the treatment of mild acne. In this single-center, open-label clinical study, 25 male and female volunteers used the test cleanser and test gel twice daily over six weeks. Tolerability assessments showed that the skin care regimen was very well tolerated by all study volunteers. Acne severity was significantly reduced by two acne grades at six weeks. Inflammatory lesion counts were significantly reduced, on average, by 59.06% (P ≤ 0.0001), 91.62% (P ≤ 0.0001), 90.85% (P ≤ 0.0001) and by 98.55% (P ≤ 0.0001) at weeks 1, 2, 4, and 6, respectively. Non-inflammatory lesion counts were reduced, on average, by 13.54% (ns), 38.95% (P ≤ 0.0001), 44.48% (P ≤ 0.0001), and by 56.10% (P ≤ 0.0001) at weeks 1, 2, 4, and 6, respectively. Standardized photography also demonstrated a progressive reduction in acne lesions over time. In conclusion, results of the present study suggest that the tested skin care regimen offers rapid acne clearance and excellent tolerability that together may help to improve patient adherence as well as treatment outcome.
Asunto(s)
Acné Vulgar/terapia , Fármacos Dermatológicos/uso terapéutico , Fototerapia/métodos , Cuidados de la Piel/métodos , Acné Vulgar/patología , Administración Cutánea , Adolescente , Adulto , Niño , Fármacos Dermatológicos/administración & dosificación , Fármacos Dermatológicos/efectos adversos , Femenino , Glicolatos/administración & dosificación , Glicolatos/efectos adversos , Glicolatos/uso terapéutico , Humanos , Masculino , Cumplimiento de la Medicación , Fototerapia/efectos adversos , Preparaciones de Plantas/administración & dosificación , Preparaciones de Plantas/efectos adversos , Preparaciones de Plantas/uso terapéutico , Estudios Prospectivos , Ácido Salicílico/administración & dosificación , Ácido Salicílico/efectos adversos , Ácido Salicílico/uso terapéutico , Índice de Severidad de la Enfermedad , Cuidados de la Piel/efectos adversos , Factores de Tiempo , Resultado del Tratamiento , Adulto JovenRESUMEN
BACKGROUND: Melasma is a cutaneous disorder associated with an overproduction of melanin by the tyrosinase enzyme. A proprietary oligopeptide (Lumixyl™) was previously shown to competitively inhibit mushroom and human tyrosinase in vitro without the associated cytotoxicity of hydroquinone and to diminish the appearance of facial melasma. OBJECTIVE: The aim of this case study was to determine if the Lumixyl Topical Brightening System (0.01% oligopeptide cream, an antioxidant cleanser, 20% glycolic acid lotion and physical sunscreen) accelerates clearance of mild-to-moderate melasma. RESULTS: All patients showed improvement in their facial melasma with 1 of 4 patients showing complete clearance after just 6 weeks. CONCLUSIONS: Results suggest that this regimen may be a useful new tool to treat mild to moderate melasma.
Asunto(s)
Fármacos Dermatológicos/uso terapéutico , Melanosis/tratamiento farmacológico , Oligopéptidos/uso terapéutico , Administración Cutánea , Adulto , Fármacos Dermatológicos/administración & dosificación , Cara , Femenino , Humanos , Masculino , Melanosis/patología , Persona de Mediana Edad , Oligopéptidos/administración & dosificación , Índice de Severidad de la Enfermedad , Resultado del TratamientoRESUMEN
Melasma is a cutaneous disorder associated with an overproduction of melanin by the tyrosinase enzyme. A proprietary oligopeptide (Lumixyl) was previously shown to competitively inhibit mushroom and human tyrosinase without the associated toxicity of hydroquinone. The aim of this split-face, randomized, double-blind and placebo-controlled pilot study was to determine the effect of twice-daily topical application of this oligopeptide (0.01% w/w) on moderate, recalcitrant melasma over a 16-week course. Five female participants with Fitzpatrick phototype IV and moderate recalcitrant melasma enrolled and completed the study. Improvement in melasma and overall facial aesthetics as well as assessment of volunteer satisfaction was measured using 10- and five-point grading scales, respectively. Treatment was well tolerated with no visible signs of irritation or allergy. All five participants demonstrated statistically significant improvement in the appearance of melasma and overall facial aesthetics with high patient satisfaction. Results suggest that the oligopeptide may be useful in the treatment of melasma and warrants further evaluation.